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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012592 <br /> DATE RECEIVED by EHD: October 09,2019 APPL#: PA-1900205 <br /> Referral Agency STAFF CONTACT FRANK GIRARDI PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Fri, September 20, 2079 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 19300 W GRANT LINE RD,TRACY APN : 20906047,26244069 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit(i.e., sewage disposal, water <br /> supplies, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population <br /> density, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: ,t-1 171<6,) <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: APrJ _ o(,o-q /moa sEl.c <br /> Lei/ 7 6'1(0w't!4 Q-tlt",lej �� 3ov w (rh.r�L�kc/ <br /> ZOOS ai <br /> P►J G s- 4�,1G- to y !•,..nw n o Q .tC�s. <br /> '4;1e KS12-w L1 L17-S7 <br /> A J <br /> — Np /�.�„,,, � 7'�/ a� ,4 '!� .'{�'� '�7� (-�ja, 2-ue7. Zy��— �,,,.�( zGy7 �,c..v�tiL �rek.✓wL- _ <br /> S•� r,rKt/ a� klk�As C*Y✓il�.i /7ipi��� �� y����6f�, <br /> I recommend: Approval ❑ Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> [CLA 11 h ck Off List- Proofread Report? Correct LAND USE#? _ <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 October 09,2019 <br />